Printable menstrual migraine diary

Three months on one page to log your periods, attacks and medication, and see whether your migraines follow your cycle. Free, no sign-up.

PDF, 2 pages.

Diary page 1: a three-month calendar with, for each day, a period box, the attack intensity and a medication box, then a cycle-by-cycle summaryDiary page 2: an attack log with date, times, intensity, symptoms, triggers, medication and drug-free relief

Why track your migraines with your cycle?

For many women, attacks come back around their period. Doctors call it menstrual migraine when attacks start between 2 days before and 3 days after the first day of the period, in at least 2 cycles out of 3.

To find out, you need to log your periods and attacks for at least 3 cycles: that is exactly what this diary is for. Confirming it can change your treatment, for example with a treatment targeted on those few days.

How to fill it in

  1. 1Write the month at the start of each row. On each period day, tick the “Period” box.
  2. 2On each attack day, write the intensity from 1 to 10 in the “Attack” row, and tick “Med” if you took an acute medication.
  3. 3At the end of each cycle, fill in the summary: first day of your period, and whether you had an attack between 2 days before and 3 days after.
  4. 4On page 2, add details for each attack if you like, then bring the diary to your next appointment.

What your doctor will look at

  • Whether your attacks fall around your period in at least 2 cycles out of 3.
  • Whether you also have attacks at other times of the cycle, which guides the treatment.
  • How long and how strong period attacks are, as they are often longer and more severe.
  • Your medication days, to avoid medication overuse.

Frequently asked questions

How many cycles should I track?

At least 3. Doctors speak of menstrual migraine when attacks fall around the period in at least 2 cycles out of 3.

What if my cycles are irregular?

The diary still works: it follows calendar days, not a theoretical cycle. Just tick your period days when they come.

What about the pill?

The diary works too. On the pill, attacks often fall in the pill-free or placebo week, and the diary will show it. Talk to your doctor, especially if you have migraine with aura.

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